| Ms Molly Laura Bourgault, NP | |
|
19537 Sager Loop, Bend, OR 97702 | |
| (858) 401-3314 | |
| Not Available |
| Full Name | Ms Molly Laura Bourgault |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 19537 Sager Loop, Bend, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326263500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 16810 (California) | Primary |
| Entity Name | Deschutes County Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235172180 PECOS PAC ID: 9638083371 Enrollment ID: O20031117000568 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Molly Laura Bourgault, NP 19537 Sager Loop, Bend, OR 97702 Ph: (858) 401-3314 | Ms Molly Laura Bourgault, NP 19537 Sager Loop, Bend, OR 97702 Ph: (858) 401-3314 |
Mr. Nicholas J Campo Iii, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 233 Sw Wilson Ave Ste 201, Bend, OR 97702 Phone: 541-382-8862 Fax: 541-382-8928 | |
Elaine Michele Brown, RN ARNP PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 Ne Neff Rd Ste B, Bend, OR 97701 Phone: 541-647-2132 Fax: 541-728-0109 | |
Jonathan Andrew Mcfadyen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-2811 | |
Molly K Torvik, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2195 Ne Professional Ct Ste 1, Bend, OR 97701 Phone: 541-322-9396 | |
Jennifer Nicole Herr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-4900 | |
Samantha Mullis, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 Fax: 541-706-7068 | |
Ms. Jordan Meier, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1345 Nw Wall St Ste 202, Bend, OR 97703 Phone: 541-204-2021 Fax: 541-325-4011 |